Education and Tips
Learn useful information and tips used in the industry.
After spending a year working on nursing pre-requisite courses, I quickly figured out that face-to-face patient care was not for me but was still interested in healthcare. I stumbled upon an opportunity to learn medical coding “on the job” and almost 30 years later, it has worked out well. I have worked for a variety… Read More »Melissa Koehler
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2024 brings significant CPT code revisions. This guide will identify important guidelines & parenthetical note additions & revisions. We’ll review anatomy & other pertinent clinical information important to understanding the new CPT codes. Important note – due to significant code changes & guideline revisions, a module published in January will provide a more thorough &… Read More »2024 CPT Update Guide
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CMS updates the NCCI Policy Manual for Medicare Services once a year. This is a general reference tool that the Medicare Administrative Contractors (MACs) use to explain the rationale for NCCI edits. The most current policy manual is effective January 1, 2024. Note additions and revisions are noted in red font. CPT and HCPCS code… Read More »2024 NCCI Policy Manual for Medicare Services
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2024 CPT TRFA Updates We continue our deep dive into the 2024 CPT changes this week with updates to the codes for Transcervical Radiofrequency Ablation of Uterine Fibroids (TRFA). Category III code 0404T Transcervical uterine fibroid(s) ablation with ultrasound guidance, RF has been deleted and a new Category I code 58580 has been created for… Read More »2024 CPT Blog: Part 3
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Social determinants of health (SDOH) are the non-medical factors that influence health outcomes. Providers can receive additional reimbursement when they document and address those SDOH that impact a patient’s treatment. CMS finalized coverage of HCPCS code G0136 (administration of a standardized, evidence-based SDOH risk assessment tool, 5-15 minutes) beginning January 1, 2024, In order to report G0136… Read More »Social Determinants of Health
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We were honored to have Charmaine be our inaugural Top Gun Spotlight. Charmaine is the Senior Director of HIM, Coding & Revenue Management Administration at Orlando Health. Here is our interview with her. UASI: What is your mini-biography, your history, how did you get into the industry? Charmaine: My experience began as a manager in… Read More »Charmaine C. Hall
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2024 CPT VBT Updates We continue our deep dive into the 2024 CPT changes this week with a focus on the new established Category I codes and impacted Category III codes for Anterior Thoracic Vertebral Body Tethering (VBT) due to increased adoption and utilization. VBT is used to correct scoliosis without spinal fusion using a… Read More »2024 CPT Blog: Part 2
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2024 E/M Time Revisions The goal of this blog series is to investigate further the changes to CPT in 2024. We’ll begin with E/M time revisions. The Evaluation & Management section saw major changes for office visits in 2021 including assigned “time ranges for E/M codes 99202 – 99205 and 99212 – 99215. In 2023… Read More »2024 CPT Blog: Part 1
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